The Psychobiology of Maltreatment in Childhood

The varied maladaptive behavioral, social, medical, and psychiatric outcomes associated with maltreatment in childhood have been extensively documented in the extant empirical literature. In this review, we examine the adverse impact of the stress associated with child maltreatment on the regulation of the neurobiological stress systems, alterations in brain maturation, and neuropsychological outcomes in the developing child. Further, we provide a detailed discussion of the pathway between the psychobiological consequences of trauma and subsequent cognitive, language, and academic deficits that often have a deleterious impact on global functioning. We review neuroimaging techniques and the empirical results of studies utilizing such techniques to examine brain maturation in maltreated children and individuals with posttraumatic stress disorder. We address the practice, research, and policy implications of the psychobiological sequelae of child maltreatment and offer future directions for research.     

The Integration of Health and Social Care: The Lessons from Northern Ireland

Mechanisms for the integration of social services with health have come to dominate the debate on providing a more seamless provision of health and social care. Working together at the health and social care interface has been strongly promoted and endorsed in government documents since the late 1990s. Moves towards integration have been treated with suspicion and scepticism in the academic literature, with many authors highlighting the many barriers and challenges presented by this method of working. Yet these proposals do not represent a paradigm shift in culture in all parts of the United Kingdom, as Northern Ireland has had an integrated health and social care system for over thirty years. Based on an empirical study of senior health care professionals in Northern Ireland, this study identifies and discusses the key issues associated with integration. It concludes that the experiences in Northern Ireland have to date been overlooked or misrepresented and could prove extremely valuable in gaining an understanding of the challenges and benefits of integrated arrangements.     

Individual accounts: Lessons from Sweden

Abstract Increasing numbers of countries are using mandatory funded individual accounts to provide retirement. Sweden in 2000 instituted a mandatory funded individual account system that differs in a number of ways from earlier such systems. It incorporates features that reflect lessons learned from other countries; in particular, ways to reduce the system's administrative costs.     

Copper mining productivity: Lessons from Chile

Chile represents almost one third of the world’s copper production. Mining is one of the main industries that contributes to our country’s development with resources and is globally recognized. Due to the end of the commodity cycle, improving productivity will be a key variable in mining performance in incoming years. This paper studies mining productivity in Chile by relying on two indicators: measure of the total factor productivity (TFP) using the traditional Solow methodology, and labor productivity. Since 2000, we found a decrease in TFP, explained mainly by the participation of capital as well as diverse factor adjustments to labor and capital inputs. Average labor productivity also decreases 42% from 1999 to 2010, a decrease explained by four determinants: real mining wages, electricity prices, copper prices and mineral grade. Since 2010, average labor productivity has increased 30%, and there is also an opportunity for additional improvement by reducing energy costs as well as by aligning productivity and labor performances.     

The language and techniques of multiyear restructing of sovereign debt: Lessons from the Mexican experience

While many economists assure that the restructing of sovereign external debt is a straightforward matter, there are many practical details that bankers must address in negotiating a deal. The problems are compounded in a multiyear restructing, where a new frame of reference had to be established for the problem of debt restructing, including new concepts for included and excluded debt, various schedule for amortizations, monitoring, and conditionality procedures, and pricing considerations. The end result achieved for Mexico can be used as starting point for other debt restructing discussions, at least from a technical point of view.     

Backtracking and the Ethics of Framing: Lessons from Voles and Vasopressin

When communicating scientific information, experts often face difficult choices about how to promote public understanding while also maintaining an appropriate level of objectivity. We argue that one way for scientists and others involved in communicating scientific information to alleviate these tensions is to pay closer attention to the major frames employed in the contexts in which they work. By doing so, they can ideally employ useful frames while also enabling the recipients of information to “backtrack” to relatively uncontroversial facts and recognize how these frames relate to their own values and perspectives. Important strategies for promoting this sort of backtracking include identifying the weaknesses of particular frames, preventing misunderstanding of them, differentiating well-supported findings from more speculative claims, and acknowledging major alternative frames.     

Coping with Normative Stress from Loss and Change:

From the symbolic interaction perspective, the study examined the effect of loss of spouse on 30 rural widows in three Montana counties at 6 and 12 months after death of spouse. Participants were given a measure of psychological husband presence, a coping inventory, a health measure, and a measure of self-esteem. The results revealed a high level of adjustment among the rural widows at both 6 and 12 months after death of spouse, and a qualitative shift in the focus of the coping behaviors from 6 to 12 months after the husband's death. These results suggest that within this select sampleit is possible for widows to adjust to their new status and develop a positive and satisfying life as a single woman.     

Unemployment and Labour Market Policies: Some Lessons from West Germany

The author points out that West Germany has had low inflation, high industrial efficiency, and good vocational training, but has not escaped rising levels of unemployment. After an analysis of employment trends in Germany since 1945 there is a review of varying government policies in public expenditure and in dealing with unemployment. The author relates demographic trends to employment patterns, and refers to such phenomena as the "dormant labour force", concluding that unemployment will remain high. He reviews the effects of social security benefits and of job creation schemes. He concludes that none of the well-known remedies for unemployment have proved effective in themselves but that short-term job creation schemes are very much a "second-best". He concludes that industrial efficiency — though essential — is not enough in itself and that conquering inflation or providing youth training are shown by the German example to be only a partial help and not a solution to improving employment prospects.     

Food Aid in Complex Emergencies: Lessons from Sudan

The term "complex emergency" was coined by the UN to imply a phenomenon characterized by a combination of causes (conflicts, war, famine, displacement) requiring a combination of responses (military, peacekeeping, relief ). The "complexity" refers to the "multi–mandate" nature of the response as well as the multi–causal nature of the emergency. Operation Lifeline Sudan (OLS), the UN humanitarian assistance programme in Sudan, has been described as history's largest humanitarian intervention in an active civil war, providing a model for the international community in what can be achieved in complex political emergencies. The paper reviews how humanitarian aid was used in Sudan, and the potential for that usage contributing to development. The political dimension of decisions taken and implemented by donors, the United Nations and non–governmental organizations is explored.     

Rules rather than discretion: Lessons from Hurricane Katrina

This paper explores options for programs to be put in place prior to a disaster to avoid large and often poorly-managed expenditures following a catastrophe and to provide appropriate protection against the risk of those large losses which do occur. The lack of interest in insurance protection and mitigation by property owners and by public sector agencies prior to a disaster often creates major problems following a catastrophic event for victims and the government. Property owners who suffer severe damage may not have the financial resources easily at hand to rebuild their property and hence will demand relief. The government is then likely to respond with costly but poorly targeted disaster assistance. To avoid these large and often uneven ex post expenditures, we consider the option of mandatory comprehensive private disaster insurance with risk-based rates. It may be more efficient to have an ex ante public program to ensure coverage of catastrophic losses and to subsidize low income residents who cannot afford coverage rather than the current largely ex post public disaster relief program.     

The "Employment-first" Welfare State: Lessons from the New Deal for Young People

New Labour is constructing an “employment‐first” welfare state. It plans through Jobcentre Plus to transform the passive culture of the benefit system by creating more explicit links between individual behaviour and engagement with labour market programmes. The New Deal for Young People (NDYP) has been at the forefront of these changes. This paper reports on the findings from four case studies that explored how the NDYP has changed young people's experience of the welfare state. It establishes that NDYP offers a mixture of employment assistance and “pressure” and has made progress in developing front‐line services and helping young long‐term unemployed people into work. NDYP does not, however, work for all. In areas of high unemployment and for some disadvantaged groups intermediate labour markets could enhance the New Deal and make real the offer of “employment opportunities for all”.     

Child Protection and the Media: Lessons from the Last Three Decades

Summary During the 1970s, 1980s and 1990s, sensationalist coverage ofa series of celebrated child abuse scandals in England and Walesresulted in the repeated vilification in the mass media of thosechild welfare agencies deemed culpable for the deaths of thechildren involved. This paper explores the contribution of themedia to the creation of the climate of fear, blame and mistrustwhich seems to have become endemic within the field of childprotection. It suggests that damaging distortions have beenintroduced into the child protection system as a result of thedefensive responses of the relevant authorities at both nationaland local level to the media onslaught. A more strategic approachto understanding and managing media coverage of this difficultfield is outlined.     

The Evolution of Emotions in Humans: A Darwinian–Durkheimian Analysis

Alexandra Maryanski's cladistic analysis of the last common ancestor to humans and apes reveals biological propensities in hominoids for autonomy, individualism, and weak-tie formation. The evolution of emotional capacities in humans, and the neuroanatomical bases for these capacities, are viewed as representing one of the many compensatory mechanisms for overcoming the low sociality contained in humans'ape ancestry. Speculation on the selection forces involved in hominids'growing capacity to use complex arrays of emotions for (a) mobilizing energy, (b) attuning, (c) sanctioning, (d) moral coding, (e) exchanging and (f) decision-making is conducted with an eye towards redirecting micro-level theorizing in sociology.     

When Social Health Insurance Goes Wrong: Lessons from Argentina and Mexico

Social health insurance (SHI) has gained popularity in recent years as a health‐care funding mechanism for developing countries in Latin America and beyond. This is reflected in a number of high‐profile conferences sponsored by international agencies, and a profusion of externally funded reform projects. This article assesses the potential of SHI to provide a sound model of health‐care financing, drawing on the experiences of Argentina and Mexico. It uses four criteria to assess the performance of SHI: coverage, equity, effectiveness and sustainability. The article begins by outlining key principles of SHI and comparing it to other models of health‐care financing. It then gives a comparative overview of four SHI programmes in Argentina and Mexico, before analysing their performance in greater detail. The article finishes by extracting lessons from this comparative analysis, both for the countries studied and for global debates on SHI.     

Enriching Resources for the Poor: Lessons from the Philippines

The paper provides an overview of the poverty situation in the Philippines, followed by a brief profile and assessment of two anti‐poverty programs: the Kapit‐Bisig Laban sa Kahirapan‐Comprehensive and Integrated Delivery of Social Services (KALAHI‐CIDSS) program and the Pantawid Pamilyang Pilipino Program (4Ps). Official statistics disclose that the global economic crisis in 2008 adversely affected Filipino households, leading to higher levels of poverty especially in rural areas. In response, government introduced an Economic Resiliency Program with social protection as one component. Sixty‐six social protection programs were launched, including the two under review. KALAHI‐CIDSS and the 4Ps apply poverty reduction strategies that focus on the development of human and social capital, rather than economic capital. They involve processes and relationships that aim to improve the other dimensions of poverty, such as lack of access to opportunities or deprivation of basic human necessities. Qualitative and quantitative reports describe generally favorable outcomes from both programs. However, these gains at the household level need to be supported by relevant policy, enhanced public services and badly‐needed infrastructure programs from government, in order to sustain achievements culled from social protection programs and attain broader developmental impacts.     

Evidence-based Engagement in the Voluntary Sector: Lessons from Canada

The shift towards governance and greater reliance on third parties in the design, implementation and evaluation of policy has created new pressures to ensure that policies are designed and delivered in a consistent and effective manner. In the interest of improving transparency, accountability, effectiveness and efficiency, governments in Canada and in the UK, as in many industrialized countries, have begun to emphasize the need for evidence‐based policy‐making. As a result, knowledge and research have become key assets in the production of policy. Yet, with their current capacity and knowledge base wanting, governments have increasingly relied on the knowledge and information of external actors and have afforded greater authority to them on this basis. This has created a situation in which evidence‐based inputs are given greater weight. This shift has particular implications for voluntary sector organizations whose basis for intervention has lain historically with the interests that they represent. Already, in the Canadian case many national organizations have seen their focus shift to research activities under the impetus of new funding initiatives explicitly encouraging activities grounded in knowledge and policy analysis. Moreover, policy guidelines have been elaborated in order to enhance the sector's capacity to contribute to the development of policy in a depoliticized manner. Using a series of interviews conducted with representatives from national voluntary organizations in Canada, this article explores the implications of such a shift for the voluntary sector in Canada, and asks whether the Canadian case holds some lessons for voluntary sector–state relations in other jurisdictions.